Evidence and Value-Based Purchasing for Value Analysis. Part 4 of 4.

part 4_1200.jpgWe have reached the end of our 4-part series! We hope you and your fellow supply chain and value analysis professionals found the information useful and have shared it with your peers. Don’t forget, you can also download our free eBook, Evidence: The 5th Domain of Value-Based Purchasing to read the content of this series in one complete package.

Didn’t read part 3? Here’s part 3.

Without further ado, we will review our fourth and final VBP domain as well as talk about the link between evidence and executive compensation.

Patient and Caregiver-Centered Experience of Care/Care Coordination

The fourth domain is linked to scores on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS), a patient satisfaction survey required by CMS for all hospitals in the United States. The dimensions surveyed include:

  • patient satisfaction_1200.jpgCommunication with nurses and doctors
  • Responsiveness of hospital staff
  • Pain management
  • Communication about medications
  • Cleanliness and quietness
  • Discharge information
  • Overall rating of the hospital

 

“There is a clear association between the effect of evidence on the first three domains and improvement in the fourth.”

(Indirect) Evidence Impact

While these categories of “patient satisfaction measures” aren’t directly impacted by evidence, there is a clear association between the effect of evidence on the first three domains and improvement in the fourth. The patient’s perception of these ratings will be significantly enhanced by the existence of evidence-based protocols that not only create an environment of consistent, proven treatments and care, but those same protocols, when well integrated, will lead to decreased caregiver stress (and error). These all factor significantly in the patient’s experience of care.

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Executive Compensation and Value-Based Purchasing

We would be remiss if we did not note the relevance of executive compensation being tied directly to performance on the value-based purchasing initiatives. Health systems are looking to align their clinical and financial strategies to achieve optimum results.

“In order to successfully implement evidence-based practice, which in turn drives success in achieving the goals set forth in the value-based purchasing domains, health systems should recruit (and retain) executives who embrace and promote a culture of evidence-based medicine.”

exec comp_1200.jpgA survey conducted by Health Leaders Media (HLM) found that 70% of executives had a percentage of their compensation at risk for value-based activities, from as little as 1% to more than 25%. The move to change has not been rapid, although many of the respondents cited that there was a need for it. There is a need to adjust recruitment and retention efforts based on the changes value-based purchasing brings.

What does this have to do with evidence, value based purchasing, and value analysis? In order to successfully implement evidence-based practice, which in turn drives success in achieving the goals set forth in the value-based purchasing domains, health systems should recruit (and retain) executives and other professionals who embrace and promote a culture of evidence-based medicine. In doing so, they stand to realize significant gains both in patient outcomes and financial reimbursement.

See our Evidence-Based Practice webinar series to see how you can foster the culture of evidence-based medicine in your value-based purchasing environment.

Thank you for joining us for this series. Again, if you’d like all of this information in one collected work, click below to download our new FREE eBook, Evidence: The 5th Domain of Value-Based Purchasing.

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Topics: Hospitals, Hayes Blog, Healthcare Evidence

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